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Ophthalmology Module
Eyelid conditions;
• Ptosis
• Blepharitis
• Internal vs External Hordeolum (stye)
• Meibomian cyst (chalazion)
Ptosis (drooping of eyelid)
Cause Description
Ledum
• Ptosis from injury with ecchymosis of lids and
conjunctiva.
Other remedies - ptosis
Nitricum acidum
• Difficulty in raising upper eyelids in the morning.
• Characteristic stitching pains like splinters in eye (fish bone, glass).
• Lids may be swollen and hard.
Spigelia
• Ptosis from inflammation with sharp, stabbing pains through the eye.
• Scalding hot lachrymation may be present.
• Lids lax and paralyzed, hang low and must be raised with the hand.
• Pain in upper lid as if it were hard and immovable.
• Main remedy for ciliary neuralgia.
Other remedies - ptosis
Sepia officinalis
• Drooping of lids with dull headache.
• Lids feel heavy, inclined to close as from
paralysis.
• Pressure as if from sand < rubbing and
pressing lids together.
• Soreness and roughness < walking in cold
wind.
Anatomy
Chalazion (Meibomian cyst)
Chronic granulomatous enlargement of the meibomian gland
from occlusion of its duct – often following inflammation of
the gland
Silicea terra
• Tarsal tumors.
• Sensitive to cold, long lasting ulcers and suppuration, > warmth.
Hordeolum (stye)
An acute localized pyogenic infection of one or
more of the glands of Zeis or Moll (external
hordeolum) OR infection of meibomian gland
(internal hordeolum)
Aetiology:
ØUsually Staphylococcus infection
ØSecondary to blepharitis
ØReoccurrence is common
External Hordeolum
Hordeolum (stye)
External hordeolum:
q Pain, redness and tenderness at lid margin
q Small round tender lump (indurated)
q Lacrimation
q Photophobia
q Foreign body sensation
q Localised or diffuse oedema
q ‘pointing’ small yellow spot of pus in center
q Rupture and discharge followed by relief of pain and
resolution
q Superficial, well localised at base of eyelash
Internal Hordeolum
Hordeolum (stye)
Internal hordeolum:
qMore severe then external
qPain, redness, swelling oedema more local
qInspection under eyelid (conjunctival side) – with
small elevation or yellow area
qAbscess forms pointing to conjunctival side
(sometimes through the skin)
qReoccurrence is common
qVisible through tarsal conjunctiva
Hordeolum (stye) – Rubrics
Eye – styes
Eye – styes – recurrent
Eye – styes – induration from
Eye – styes – lid - upper
Eye – styes – lid – lower
• Main remedies
Ant-c; Apis; Ars; Bell; Calc-c; Calc-I; Euph; Graph; Hep; Merc;
Nat-ars; Nat-m; Puls; Rhus-t; Sulph
Euphrasia officinalis
Arg-nit, Borx; Calc; Graph; Merc; Merc-c; Nat-m; Nit-ac; Sil; Sulph.
RUBRICS
Ectropion
Homoeopathic treatment
• Mostly to treat the complications of ectropion (and entropion), operative measures are almost
invariably necessary – except in the very early stages.
Apis; Arg-met; Arg-nit; Calc; Ham; Lyc; Merc; Merc-c; Nat-m; Nit-ac; Staph; Sulph
• Arg- nit – Lids swollen, red inflamed, everted, puncta lachrymalis very red and prominent.
• RUBRICS